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NSG 121 Health Assessment HESI Final Exam Latest Update Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+ Verified by Professor$20.49
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NSG 121 Health Assessment HESI Final Exam
Latest Update 2024-2025 Actual Exam Questions
and 100% Verified Correct Answers Guaranteed
A+ Verified by Professor
Abdmoninal Palpation for Elderly - CORRECT ANSWER: Dividing the abdomen into 4
quadrants assists with location of the underlying organs. The elderly are less likely to
feel pain with abdominal conditions and do not always present with classic symptoms
and laboratory findings. They are more likely to have vague diffuse pain and tend to
have a less acute presentation.
Abdomen Auscultation for Bruit - CORRECT ANSWER: Bruits are swishing sounds that
indicate turbulent blood flow resulting from constriction or dilation of a tortuous vessel.
Bruits in the hepatic area indicate liver cancer or alcoholic hepatitis. Bruits over the
aorta or renal arteries indicate partial obstruction of the aorta or renal artery.
Abstract Thinking - CORRECT ANSWER: Assessment of thought processes:
Patient's thoughts are easy to follow, logical, coherent, relevant, goal directed,
consistent, and abstract
Abstract Thinking: Ability to understand concepts that are real
ADLs - CORRECT ANSWER: Mobility impairments affecting activities of daily living
(ADLs) and instrumental activities of daily living (IADLs)
Allen Test - CORRECT ANSWER: When indicated, perform the Allen test to assess the
patency of the collateral circulation of the hands (Fig. 18.9). Ask the patient to make a
fist. Occlude the radial and ulnar arteries of the same hand. Have the patient open the
hand; release pressure on the ulnar artery. Do the same with the radial artery.
APGAR - CORRECT ANSWER: 1 min & 5 min
7-10 indicates vigorous newborn adapting well
, If the 5-minute score is less than 7, continue to score every 5 minutes up to 20 minutes
until the score is above 7, the newborn is intubated, or the newborn is transferred to the
nursery.
A score of 4-6 indicates the newborn is moderately depressed, and 0-3 indicates severe
respiratory depression and requires observation and care in a NICU.
Assessment for Anal Hemorrhoids - CORRECT ANSWER: Observe anus while patient
bears down, then lubricate index finger and have patient take deep breath while you
insert finger. Should feel full closure around finger. Can be external or internal.
Hemorrhoids are usually caused by constant or excessive straining upon defecation
Assessment of Mouth/Tongue - CORRECT ANSWER: Holding a light in the
nondominant hand and a tongue blade in the dominant one, gently separate areas to
fully inspect the buccal mucosa, noting color and pigmentation
Small, isolated, white or yellow papules (Fordyce granules) may be noted on the
cheeks, tongue, and lips. These sebaceous cysts or salivary tissues are insignificant
Assessment of PMI - CORRECT ANSWER: The point of maximal impulse (PMI) is a
term used to describe the area where the apical pulsation can be seen or palpated. In
most adults, this impulse can commonly be found at the intersection of the 5th ICS
mitral area and the left MCL in the mitral area.
Ataxia Assessment - CORRECT ANSWER: Ataxia (irregular uncoordinated movements)
or loss of balance may be due to cerebellar disorders, Parkinson disease, multiple
sclerosis, strokes, brain tumors, inner ear problems, or medications.
gait, stance, sitting, speech disturbance, finger chase, nose-finger, fast alternating hand
movements, & heel shin
Auscultation Equipment - CORRECT ANSWER: Stethoscope on skin
BMI Risk Assessment - CORRECT ANSWER: An assessment of risk factors includes
questions about past medical and surgical histories, medication and supplement use,
family history, food and fluid intake patterns, and the patient's psychosocial profile
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